Individual
GABRIEL TIMOTHY BOSSLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01063003A
IN
207R00000X
Internal Medicine Physician
35085776
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01063003A
IN
207RP1001X
Pulmonary Disease Physician
01063003A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200985450
—
IN
Enumeration date
06/08/2006
Last updated
03/07/2025
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